<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">

        <div class="layui-form-item">
            <label class="layui-form-label">类型</label>
            <div class="layui-input-block">
                <select name="type" lay-verify="required" data-select="{:url('recharge.address/getAddressType')}"
                        data-fields="id,title" data-value="{$row.type|default=''}">
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">充币地址</label>
            <div class="layui-input-block">
                <input type="text" name="address" class="layui-input"  placeholder="请输入充币地址" value="{$row.address|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">手续费</label>
            <div class="layui-input-block">
                <input type="text" name="handling_fee" class="layui-input" placeholder="请输入提币手续费" value="{$row.handling_fee|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label required">二维码</label>
            <div class="layui-input-block layuimini-upload">
                <input name="code_img" class="layui-input layui-col-xs6"   placeholder="请上传二维码" value="{$row.code_img|default=''}">
                <div class="layuimini-upload-btn">
                    <span><a class="layui-btn" data-upload="code_img" data-upload-number="one" data-upload-exts="png|jpg|ico|jpeg" data-upload-icon="image"><i class="fa fa-upload"></i> 上传</a></span>
                    <span><a class="layui-btn layui-btn-normal" id="select_code_img" data-upload-select="code_img" data-upload-number="one" data-upload-mimetype="image/*"><i class="fa fa-list"></i> 选择</a></span>
                </div>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态</label>
            <div class="layui-input-block">
                {foreach $getStatusList as $k=>$v}
                <input type="radio" name="status" value="{$k}" title="{$v}" {in name="k" value="$row.status"}checked=""{/in}>
                {/foreach}
            </div>
        </div>

        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>